The late presentation should alert you to possibility of NAI.

Other features suggestive of NAI would include:
-The explanation of the injury by the carer is not consistent with the injury sustained or the developmental stage of the child.

-There may be no explanation for the injuries or a story that changes on repetition. The child may offer an explanation at odds with that of the carer.

-Evidence of neglect
-Multiple unusual bruising patterns
-Evidence of old injuries
-X-ray indication of old or current fractures
-Tearing frenulum
-Cigarette burns
-Bite marks
-Fundal examination will identify retinal haemorrhages
-The child may well be withdrawn with a facial appearance of fear called 'frozen watchfulness'